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https://www.readbyqxmd.com/read/29781677/community-health-workers-in-lesotho-experiences-of-health-promotion-activities
#1
Thato Seutloali, Lizeka Napoles, Nomonde Bam
BACKGROUND: Lesotho adopted primary health care in 1979, and community health workers (CHWs) were included in the programme to focus on health promotion, particularly to reach people in underserved rural areas. Although the CHW programme has been successful, the heavy burden of disease because of HIV and/or AIDS and tuberculosis shifted resources from health promotion to home-based care. AIM: The study explored the lived experience of CHWs in conducting health promotion activities in Lesotho...
February 27, 2018: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29776002/the-chaos-of-hospitalisation-for-patients-with-critical-limb-ischaemia-approaching-major-amputation
#2
Susan Monaro, Sandra West, Jana Pinkova, Janice Gullick
AIMS AND OBJECTIVES: To illuminate the hospital experience for patients and families when major amputation has been advised for critical limb ischaemia (CLI). BACKGROUND: CLI creates significant burden to the health system and the family, particularly as the person with CLI approaches amputation. Major amputation is often offered as a late intervention for CLI in response to the marked deterioration of an ischaemic limb, and functional decline from reduced mobility, intractable pain, infection and/or toxaemia...
May 18, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29772848/increased-vaccination-coverage-among-adolescents-and-young-adults-in-the-district-of-palermo-as-a-result-of-a-public-health-strategy-to-counteract-an-epidemic-panic
#3
Claudio Costantino, Vincenzo Restivo, Gianmarco Ventura, Claudio D'Angelo, Maria Angela Randazzo, Nicolò Casuccio, Mario Palermo, Alessandra Casuccio, Francesco Vitale
During the summer of 2016 four cases of invasive meningococcal disease in rapid succession among young adults in the district of Palermo, Italy, resulting in one death, were widely reported by local and national mass media. The resultant 'epidemic panic' among the general population overloaded the vaccination units of the Palermo district over the following months. Strategies implemented by the Sicilian and local public health authorities to counteract 'meningitis fear' included the following: (a) extension of active and free-of-charge anti-meningococcal tetravalent vaccination from age class 12⁻18 to 12⁻30 years old; (b) implementation of vaccination units during normal clinic hours in rooms tailored for vaccine administration; (c) development of informative institutional tools and timely communication throughout local mass media to reassure the general population...
May 17, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29769152/startle-habituation-sensory-and-sensorimotor-gating-in-trauma-affected-refugees-with-posttraumatic-stress-disorder
#4
Hanieh Meteran, Erik Vindbjerg, Sigurd Wiingaard Uldall, Birte Glenthøj, Jessica Carlsson, Bob Oranje
BACKGROUND: Impairments in mechanisms underlying early information processing have been reported in posttraumatic stress disorder (PTSD); however, findings in the existing literature are inconsistent. This current study capitalizes on technological advancements of research on electroencephalographic event-related potential and applies it to a novel PTSD population consisting of trauma-affected refugees. METHODS: A total of 25 trauma-affected refugees with PTSD and 20 healthy refugee controls matched on age, gender, and country of origin completed the study...
May 17, 2018: Psychological Medicine
https://www.readbyqxmd.com/read/29768600/-the-profile-of-caregivers-to-pediatric-patients-with-cystic-fibrosis
#5
Stella Pegoraro Alves, Denise Bueno
The scope of this study was to establish the profile of caregivers of pediatric patients diagnosed with Cystic Fibrosis (CF). It was a cross-sectional, descriptive and prospective study in which the caregivers of fibrocystic patients were interviewed during pharmaceutical consultation in a reference center of a University Hospital in southern Brazil. General information was obtained about the caregivers and about their understanding of the disease, drug consumption and dynamics of treatment at home and at school...
May 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29762515/iron-status-and-gestational-diabetes-a-meta-analysis
#6
REVIEW
Yachana Kataria, Yanxin Wu, Peter de Hemmer Horskjær, Thomas Mandrup-Poulsen, Christina Ellervik
A meta-analysis of the association of iron overload with gestational diabetes mellitus (GDM) may inform the health debate. We performed a meta-analysis investigating the association of iron biomarkers and dietary iron exposure with GDM. We identified 33 eligible studies ( N = 44,110) published in 2001⁻2017. The standardized mean differences (SMD) in women who had GDM compared to pregnant women without were 0.25 µg/dL (95% CI: 0.001⁻0.50) for iron, 1.54 ng/mL (0.56⁻2.53) for ferritin, 1.05% (0.02 to 2...
May 15, 2018: Nutrients
https://www.readbyqxmd.com/read/29756697/consents-or-waivers-of-responsibility-parents-information-in-nicu
#7
Carlo V Bellieni, Caterina Coradeschi, Maria R Curcio, Elisa Grande, Giuseppe Buonocore
BACKGROUND: Informing the patient is a base of modern medicine; nonetheless, a great discrepancy exists between hospitals on the way this information should be administered. This is particularly important when the patient are babies: the information should be given to their parents who should approve or disapprove the treatment. Aim of this study is to assess the adequacy of the information administered to the parents of babies admitted into the Neonatal Intensive Care Units. METHODS: We analyzed the consent forms of center-north Italy NICUs...
May 14, 2018: Minerva Pediatrica
https://www.readbyqxmd.com/read/29747657/policies-and-clinical-practices-relating-to-the-management-of-gestational-diabetes-mellitus-in-the-public-health-sector-south-africa-a-qualitative-study
#8
Lorrein Shamiso Muhwava, Katherine Murphy, Christina Zarowsky, Naomi Levitt
BACKGROUND: Women with a prior gestational diabetes have an increased lifetime risk of developing type 2 diabetes. Although post-partum follow-up for GDM women is essential to prevent progression to type 2 diabetes, it is poorly attended. The need for health systems interventions to support postpartum follow-up for GDM women is evident, but there is little knowledge of actual current practice. The aim of this study was to explore current policies and clinical practices relating to antenatal and post-natal care for women with GDM in South Africa, as well as health sector stakeholders' perspectives on the barriers to -- and opportunities for -- delivering an integrated mother - baby health service that extends beyond the first week post-partum, to the infant's first year of life...
May 10, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29733282/color-and-vector-flow-imaging-in-parallel-ultrasound-with-sub-nyquist-sampling
#9
Craig Madiena, Julia Faurie, Jonathan Poree, Damien Garcia
RF acquisition with a high-performance multichannel ultrasound system generates massive data sets in short periods of time, especially in "ultrafast" ultrasound when digital receive beamforming is required. Sampling at a rate four times the carrier frequency is the standard procedure since this rule complies with the Nyquist-Shannon sampling theorem and simplifies quadrature sampling. Bandpass sampling (or undersampling) outputs a bandpass signal at a rate lower than the maximal frequency without harmful aliasing...
May 2018: IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control
https://www.readbyqxmd.com/read/29729747/quality-submissions-and-editorial-commentaries-require-heavy-lifting-journal-growth-risks-information-overload
#10
EDITORIAL
James H Lubowitz, Jefferson C Brand, Michael J Rossi
Our journal has grown in pages including more articles plus commentary. On the one hand, we see this as a subscriber benefit, but we also recognize that more is not always better. We risk information overload resulting in fatigue and the inability to read every word of every article. The challenge of information overload has expanded since the explosion of the internet and electronic communications. We could increase our already high rejection rates, but at the risk of rejecting high-quality research, which we do not prefer...
May 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29724145/elizabeth-usher-memorial-lecture-how-do-we-change-our-profession-using-the-lens-of-behavioural-economics-to-improve-evidence-based-practice-in-speech-language-pathology
#11
Patricia J McCabe
Evidence-based practice (EBP) is a well-accepted theoretical framework around which speech-language pathologists strive to build their clinical decisions. The profession's conceptualisation of EBP has been evolving over the last 20 years with the practice of EBP now needing to balance research evidence, clinical data and informed patient choices. However, although EBP is not a new concept, as a profession, we seem to be no closer to closing the gap between research evidence and practice than we were at the start of the movement toward EBP in the late 1990s...
May 3, 2018: International Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/29721914/echocardiography-in-arterial-hypertension
#12
REVIEW
Giovanni de Simone, Costantino Mancusi, Roberta Esposito, Nicola De Luca, Maurizio Galderisi
Hypertension is a condition characterized by pressure and/or volume overloads and echocardiography is helpful and feasible to understand hemodynamic mechanisms. Echocardiographic information is sometimes critical and susceptible of modifying decision making. In this review, we provide detailed descriptions of the parameters that can be derived from a standard transthoracic echocardiogram, including some more recent techniques. We will also explain how each parameter might have impact in the evaluation of the hypertensive patient and give indications on when to refer patients to echo-labs, which parameters are critical and which ones might be redundant, and how to use the information obtained in the report...
May 2, 2018: High Blood Pressure & Cardiovascular Prevention: the Official Journal of the Italian Society of Hypertension
https://www.readbyqxmd.com/read/29715658/coniferous-coverage-as-well-as-catchment-steepness-influences-local-stream-nitrate-concentrations-within-a-nitrogen-saturated-forest-in-central-japan
#13
Mirai Watanabe, Shingo Miura, Shun Hasegawa, Masami K Koshikawa, Takejiro Takamatsu, Ayato Kohzu, Akio Imai, Seiji Hayashi
High concentrations of nitrate have been detected in streams flowing from nitrogen-saturated forests; however, the spatial variations of nitrate leaching within those forests and its causes remain poorly explored. The aim of this study is to evaluate the influences of catchment topography and coniferous coverage on stream nitrate concentrations in a nitrogen-saturated forest. We measured nitrate concentrations in the baseflow of headwater streams at 40 montane forest catchments on Mount Tsukuba in central Japan, at three-month intervals for 1 year, and investigated their relationship with catchment topography and with coniferous coverage...
April 28, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29692718/human-s-capability-to-discriminate-spatial-forces-at-the-big-toe
#14
Annette Hagengruber, Hannes Höppner, Jörn Vogel
A key factor for reliable object manipulation is the tactile information provided by the skin of our hands. As this sensory information is so essential in our daily life it should also be provided during teleoperation of robotic devices or in the control of myoelectric prostheses. It is well-known that feeding back the tactile information to the user can lead to a more natural and intuitive control of robotic devices. However, in some applications it is difficult to use the hands as natural feedback channels since they may already be overloaded with other tasks or, e...
2018: Frontiers in Neurorobotics
https://www.readbyqxmd.com/read/29670147/sciride-finder-a-citation-based-paradigm-in-biomedical-literature-search
#15
Adam Volanakis, Konrad Krawczyk
There are more than 26 million peer-reviewed biomedical research items according to Medline/PubMed. This breadth of information is indicative of the progress in biomedical sciences on one hand, but an overload for scientists performing literature searches on the other. A major portion of scientific literature search is to find statements, numbers and protocols that can be cited to build an evidence-based narrative for a new manuscript. Because science builds on prior knowledge, such information has likely been written out and cited in an older manuscript...
April 18, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29663590/use-of-deferasirox-exjade-for-iron-overload-in-peritoneal-dialysis-patients
#16
Erwin Yii, James Cg Doery, Zane Kaplan, Peter G Kerr
BACKGROUND: A 54 year old male with β-Thalassemia major developed ESRD and was managed with continuous ambulatory peritoneal dialysis. Although not able to be transfused due to high titre red cell antibodies he did require management of iron overload. Deferasirox (Exjade) was administered orally. There was concern that excretion of iron via the peritoneal dialysate may raise the risk of iron-dependent infections (Yersinia and Rhizopus). METHODS: Whilst receiving Exjade 1000mg /day, a total collection of 12...
April 16, 2018: Nephrology
https://www.readbyqxmd.com/read/29658327/adherence-to-oral-anticoagulants-in-atrial-fibrillation-an-australian-survey
#17
Kehinde O Obamiro, Leanne Chalmers, Kenneth Lee, Bonnie J Bereznicki, Luke R Bereznicki
BACKGROUND: The aim of this study was to investigate the proportion of patients who have suboptimal adherence to oral anticoagulant (OAC), identify the predictors of adherence, and determine whether patient-related factors vary across adherence levels in Australia. METHODS: Respondents were recruited for an online survey using Facebook. Survey instruments included the Morisky Medication Adherence Scale, the Anticoagulation Knowledge Tool, the Perception of Anticoagulant Treatment Questionnaires, and a modified Cancer Information Overload scale...
January 1, 2018: Journal of Cardiovascular Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/29656694/pre-specialization-considerations-for-more-focused-and-personalized-educational-modules-in-the-twenty-first-century
#18
Jason J Han, Neha Vapiwala
BACKGROUND: This essay provides a multidisciplinary discussion of the current medical education curriculum and the increasing need to adapt it to our rapidly evolving and expanding healthcare environment. METHODS: Thorough literature search on the topic of medical school curriculum, ranging from its historical origins to contemporary practice as well as statistics, was conducted. RESULTS: The authors give a brief historical overview of and rationale behind the current structure of the medical education system in America...
April 14, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29649149/vehicular-visible-light-networks-for-urban-mobile-crowd-sensing
#19
Barbara M Masini, Alessandro Bazzi, Alberto Zanella
Crowd sensing is a powerful tool to map and predict interests and events. In the future, it could be boosted by an increasing number of connected vehicles sharing information and intentions. This will be made available by on board wireless connected devices able to continuously communicate with other vehicles and with the environment. Among the enabling technologies, visible light communication (VLC) represents a low cost solution in the short term. In spite of the fact that vehicular communications cannot rely on the sole VLC due to the limitation provided by the light which allows communications in visibility only, VLC can however be considered to complement other wireless communication technologies which could be overloaded in dense scenarios...
April 12, 2018: Sensors
https://www.readbyqxmd.com/read/29614049/clustering-and-flow-conservation-monitoring-tool-for-software-defined-networks
#20
Jesús Antonio Puente Fernández, Luis Javier García Villalba, Tai-Hoon Kim
Prediction systems present some challenges on two fronts: the relation between video quality and observed session features and on the other hand, dynamics changes on the video quality. Software Defined Networks (SDN) is a new concept of network architecture that provides the separation of control plane (controller) and data plane (switches) in network devices. Due to the existence of the southbound interface, it is possible to deploy monitoring tools to obtain the network status and retrieve a statistics collection...
April 3, 2018: Sensors
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